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NPI Code Detail

MEDICARE: ROMANT CHIROPRACTIC AND WELLNESS, LLC

MEDICARE: ROMANT CHIROPRACTIC AND WELLNESS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4100-012WI

General Provider Information

NPI Number : 1770522187
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROMANT CHIROPRACTIC AND WELLNESS, LLC
Provider Business Mailing Address
First Line : 8812 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2726
Country : US
Telephone Number : 414-774-2300
Fax Number : 414-774-0341
Provider Business Practice Location Address
First Line : 8812 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2726
Country : US
Telephone Number : 414-774-2300
Fax Number : 414-774-0341
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : JAY JEFFREY ROMANT
Credential : DC
Telephone Number : 414-774-2300
Provider Enumeration Date : 06/05/2006
Last Update Date : 08/22/2020

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Directions to “ROMANT CHIROPRACTIC AND WELLNESS, LLC ” Practice Location

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